Individual provider Active NPI

Morgan Tyler Wooddell-Woodard, OTR/L

  • Occupational Therapist
  • Suffolk, VA
National Provider Identifier
1710634357
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119009371 Issued in VA
Practice address
150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Phone
(757) 942-2022
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119009371 VA Primary

Addresses

Primary practice location

150 Burnetts Way Ste 230
Suffolk, VA 23434-8168

Mailing address

200 Ryans Way
Yorktown, VA 23693-3000
Phone (757) 848-7487

Other practice location 1

704 City Center Blvd Ste D
Newport News, VA 23606-3094
Phone (757) 595-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808003130 VA Practitioner - Occupational Therapist in Private Practice 2860874864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

150 Burnetts Way
Suite 230
Suffolk, VA 23434-8168
Phone (757) 942-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119009371VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Hand Therapy LLC Occupational Therapist CurrentSince Apr 15, 2022 Accepting new patients
Ivyrehab Sept, LLC Occupational Therapist CurrentSince Jun 13, 2024 Accepting new patients
Ivyrehab Sept, LLC Occupational Therapist CurrentSince Jun 13, 2024 Accepting new patients
Pinnacle Hand Therapy PastSince Mar 1, 2022 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

704 City Center Blvd
Ste D
Newport News, VA 23606
Phone (757) 595-4880

150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1710634357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RYANS WAY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933000",
            "telephone_number": "757-848-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY STE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-942-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 City Center Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063094",
            "country_code": "US",
            "telephone_number": "757-595-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODDELL-WOODARD",
        "first_name": "MORGAN",
        "middle_name": "TYLER",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.